缓慢性心律失常患者双腔起搏器植入对认知功能及其独立危险因素的影响分析  

Effect of Dual-Chamber Pacemaker Implantation on Cognitive Function and Its Independent Risk Factors in Patients with Bradyarrhythmia

作　　者：鲁玮 孟亮[1] 陈曦 李敬[1] LU Wei;MENG Liang;CHEN Xi;LI Jing(Department of Cardiovascular Medicine,Affiliated Central Hospital of Shenyang Medical College,Liaoning Shenyang 110024)

机构地区：[1]沈阳医学院附属中心医院心血管内科,辽宁沈阳110024

出　　处：《中国医疗器械信息》2022年第23期141-143,共3页China Medical Device Information

摘　　要：目的:分析缓慢性心律失常患者植入双腔起搏器对其认知功能的影响,并对其独立危险因素进行分析。方法:选择于2019年1月~2020年1月于本院就诊的缓慢性心律失常患者55例,另选择同期55例健康体检者,分别命名为观察组和对照组,对2组患者认知功能进行评估,并对独立危险因素进行分析。结果:对比对照组,观察组MoCA评分(定向、延迟回忆、抽象、语言、注意、命名、执行能力与视空间、总分)、MMSE评分(计算力和注意力、即刻记忆、短时记忆、图形执行能力、语言能力、定向、总分)均明显降低,比较差异明显(P<0.05);观察组植入双腔起搏器前后患者认知功能,对比植入前,植入后认知功能改善明显,对比差异性明显(P<0.05);对认知功能造成影响的独立危险因素为年龄和文化水平。结论:缓慢性心律失常患者植入双腔起搏器可对认知功能起到改善作用,其独立危险因素为文化水平和年龄。Objective:To analyze the influence of implantation of dual-chamber pacemaker on cognitive function of patients with bradyarrhythmia and its independent risk factors.Methods:55 patients with bradyarrhythmia who visited our hospital from January 2019 to January 2020 were selected as analysis cases,and 55 healthy people in the same period were selected and named as experimental group and control group respectively.The cognitive function of the two groups was evaluated and independent risk factors were analyzed.Results:Compared with the control group,the experimental group’s MoCA score(orientation,delayed recall,abstraction,language,attention,naming,executive ability and visual space,total score),MMSE score(computational power and attention,immediate memory,short-term memory,graphical execution ability,language ability,orientation,total score)were significantly reduced,and the difference was significant(P<0.05);The cognitive function of patients in the experimental group before and after dual-chamber pacemaker implantation was compared with that before and after implantation.Obviously,the contrast difference is obvious(P<0.05);The independent risk factors affecting cognitive function are age and education level.Conclusion:Implantation of dual-chamber pacemaker in patients with bradyarrhythmia can improve cognitive function,and the independent risk factors are education level and age.

关 键 词：缓慢性心律失常 双腔起搏器 认知功能 独立危险因素 

分 类 号：R541.7[医药卫生—心血管疾病]